1. Alison Aubert MS, ATC CCCATA President Athletic Trainer, Solano College Wendy Holt MA, ATC, CSCS Athletic Trainer, Diablo Valley College Annie Martin MA, ATC Athletic Trainer, Los Medanos College Warren Voyce MS, ATC Athletic Trainer, Foothill College A Resource Allocation Proposal

2. California Community College Athletic Trainers’ Association (CCCATA) Statewide organization involved in providing the CCCAA with information and recommendations for the development of policy and procedure in regards to the medical care of CCCAA Athletics We are governed by : NATA (National Athletic Trainers Assoc) CATA (California Athletic Trainers Assoc) CCCAA (California CC Athletic Trainers Assoc) Medical Guidelines (Bylaw 9) Contests and Seasons of Sport (Bylaw 3) http://www.cccaasports.org/services/constitution

3. Purpose: To provide information to athletic administrators and athletic trainers about the increased need for medical coverage in California Community College athletics Inform and Educate New Interpretation of Legislation Support Athletics Voice for athletes, coaches and programs Protect Colleges Decrease risk and liability Provide Action Steps for Colleges to Consider Goals:

4. CCCAA has unanimously decided that Bylaw 9 (Medical Policies) applies to all sanctioned CCCAA contests including traditional season games, traditional season scrimmages, and non-traditional season scrimmages Bylaw 3 (Contests and Seasons of Sport) establishes “TRADITIONAL” and “NON-TRADITIONAL” seasons of sport Represents a Legal Duty for ATC to be present at defined events These seasons now compete over 12 MONTHS (August 15 th through 20 days of July) vs. 4-5 month traditional season. Establishes a period for colleges to provide athletic training services.

5. Non-traditional seasons for Men’s Basketball Men’s Water Polo Women’s Water Polo Intercollegiate courses for FootballBaseball BadmintonGolf SoccerSoftball Wrestling Track VolleyballSwim/Dive X Country Tennis Women’s Basketball

6. Medical Services 30% Risk Minimization 30% Organizational/Administrative 20% Influence on Academic Success 10% Cost Containment 10% Reference: NATA

7. Injury Evaluation and Treatment Injury Rehabilitation and Reconditioning Outside Medical Provider Services Team Physician Services Diagnostic Testing Injury prevention programs Ancillary medical services PREVENTION, EVALUATION Re-Evaluations, TREATMENT, REHABILITATION, PPE: Orthopedic, FMS, Gen Med. General Prevention: Orthopedic, GEN MED, Nutritional, etc..

8. Injury Prevention & Care Policies First Responder for home and visiting teams Emergency Action Plans Facilitate PPEs (Physical Exams) Safe Facilities Create/Maintain appropriate medical referral system Design and application of preventive and post-injury taping, bracing and padding Make appropriate play/no-play decisions First Aid/CPR training Practice/event care and coverage Using communication and interpersonal skills to create trust between student-athletes, coaches, administrators and the athletic training staff

9. Protective Equipment selection, fitting & use Recommendations for sport rule changes Infection control Budget management to provide adequate resources to purchase risk reduction supplies Environmental monitoring Functional movement assessments /Assessment of pre- existing conditions Mental Health Counseling referrals Nutrition suggestions and referral

10. Injury and Evaluation records Physical therapy program reviews and data base Pre-participation examination (PPE) Sports Medicine Team relations Emergency Action Plans (EAPs) Insurance Quality Control Risk Management Education

11. Student Retention Life Skills Conditions Affecting Learning/Psychological issues Counseling

12. Insurance Premiums Staffing and Workload Management Medical Services Budget Management Academic Success Contracts

13. Collection and review of physical forms? District liability forms? Declares medical eligibility? Medical emergencies? Non-emergency injury evaluation & treatment? Medical care during non-traditional games, conditioning? Insurance claims and processing? Concussion legislation protocols? COACHES..... ? ATHLETIC DIRECTORS....? NOBODY.... ?

14. We have found that Community Colleges that offer: Prevention of Injury techniques Sports Medicine Team (physicians that volunteer services) Have multiple ATC’s on staff Offer rehabilitation/ Physical Therapy on site …saves in Athletic Insurance costs. Which might…PAY for another ATC on staff

15. Injury evaluation (consultation) 99215 $269 for 40 min Ultrasound 97035 $195 up to 15 min Electrical stimulation (unattended) G0283 $75 Joint Mobilization (manual therapy) 97140 $75 Soft Tissue Mobilization 97001 and 02 $50 Gait analysis 97002 $50 97003 and 04 after 15 min $75 Therapeutic Exercise (dry land ) 97110 $75 Therapeutic Exercise (water) 97112 $75 Moist Hot Pack Cold therapy Therapeutic Modality$50 Services provided by in-house ATCs produce no costs to insurance COST CONTAINMENT EXAMPLE: OUTSOURCED UTILIZING COLLEGE INSURACE POLICY

16. Schools address this issue in several ways: Limit hours the teams can participate to decrease need Pay overtime to pay certified AT for needed nights and weekends (use this money to hire an additional ATC) Offer Comp time for overtime hours worked (difficult for most ATC’s to use, since they are needed on holidays, breaks, and summer…especially 10 month ATC’s). Burn Out is very common due to the 50+ hours per week needed when there is only one ATC on staff, with No breaks all year long.

17. CCCATA Recommendations Action Steps Increase classified ATC’s from 10 month position to to 12 month position. Increase number of ATC’s for proper care. Look at part time positions ($ 35 +pay rate per hour) used to pay assistants. Increase supply budgets to meet increased demands Work with athletic directors, coaches to ensure appropriate scheduling of events to allow for necessary coverage within the resources allocated

18. # of high risk sports offered NATA STUDY FOR APPROPRIATE MEDICAL CARE Realizing that we are not NCAA programs… we suggest appropriate medical care (ATC positions, for coverage only/not including educational component) should be:

19. 1.5 AT’SSmall-Athletics Programs- < 75 participants (1-5 teams) 2-2.5 Medium- Athletics Programs- 75-200 participants (5-12 teams). 2.5 TO 5Large- Athletics Programs- > 200 participants (12-20+teams). COMPETITORS = Athletes recorded on Form 3 PARTICIPANTS = Form 3, red / grey shirts, cuts, quit etc. NOTE: 1 ATC = one full time 12 month position,.5 = a half of full time position (ex. 20 hours per week)

20. FALL SPORTS COMPETITOR/ PARTICIPANT TOTAL FOOTBALL74/34 108 VOLLEYBALL 11/ 9 20 SOCCER 21/4 25 MENS XC14/4 18 WOMENS XC 8/ 0 8 MENS POLO 21/3 24 WOMEN S POLO 12/6 18 MEN BASKETBALL12/7 19 WOM BASKETBALL12/5 17 TOTAL 185/72 257 TOTAL 444 Athletes= BASEBALL 24/16 40 SOFTBALL 12/1 13 MENS TENNIS 11/4 15 WOMENS TENNIS 6/3 9 MENS TRACK/FIELD 28/6 34 WOMEN TRACK/FIELD 9/10 19 MENS SWIM/DIVE 27/4 31 WOMENS SWIM/DIVE 20/6 26 TOTAL 137/50 187 *One -10 month ATC with Part Time ATC at 40% SPRING SPORTS COMPETITOR /PARTICIPANT TOTAL

21. We all agree that Athletics is a positive addition to all Campuses! We hope to educate you on the Risk and how to Manage the Risk within Athletics. We offer assistance in to any program that needs additional ATC staff These are low costs changes that will protect the liability of the college, ensure a safe and secure environment for our athletes, and assure parents that their children are cared for.

22. We are educating the public on what we do